Pile of colorful vegetables spilling across wooden table

Referring to heart disease, Dr. Caldwell B. Esselstyn, Jr., MD asks, “Why is there reticence to provide the public with guidelines that will spare them this disease or its progression?” in an article published in The American Journal of Cardiology. “The National Research Council position was that a dietary fat recommendation lower than 30% would be too frustrating for those attempting to achieve a significant reduction. Although it is uncertain to what extent people will adopt the advice, it is nevertheless scientifically and ethically imperative to inform the public what constitutes an optimal diet. We must tell the public the truth about what is best for their health, and let them decide their degree of compliance,” he asserts.

My video Optimal Diet: Just Give It to Me Straight, Doc describes how Dr. Esselstyn challenged an expert panel to answer these questions from patients: “I’ll do anything, but I never want to have heart disease” and “I’ve had a heart attack, and I never want another.” Answers ranged from having them “eat beans, beans, and more beans” to it’s “time for the public to embrace a plant-based diet.”

The recommended plant-based diet is not the same as vegetarianism.

Vegetarians often consume all sorts of less-than-healthful foods, such as oils, margarine, dairy products, and eggs. Vegans do, too, for that matter. “This new paradigm is exclusively plant-based nutrition,” Dr. Esselstyn explains. In other words, it consists only of whole plant foods. Why exclusively? Because, as reported in the Cornell China Study, there does not appear to be “a threshold beyond which further benefits do not accrue with increasing proportions of plant-based foods in the diet.” It appears the more plant-based foods and the fewer animal-based foods, the better.

In a separate paper published in The American Journal of Cardiology, Dr. Esselstyn acknowledges that he is “acutely aware of the castigation that accompanies recommending a plant-based diet—namely that the recommendation will be met with skepticism and hostility on the part of the general public”—though less so these days as millions jump on the plant-based wagon. But that hostility is “peculiar,” Dr. Esselstyn continues, “because many cultures sustain themselves with such a diet, enjoying its taste, texture, and variety, as well as its health-promoting qualities. However, dietary preference is deeply personal, and one can easily be offended. Nevertheless, the public has a right to know the truth as understood by experts in nutritive biology about what constitutes the safest and healthiest diet.”

I couldn’t have said it better. The public has a right to know the truth.

“Some criticize this exclusively plant-based diet as extreme or draconian. Webster’s dictionary defines draconian as ‘inhumanly cruel.’ A closer look reveals that ‘extreme’ or ‘inhumanly cruel’ describes not plant-based nutrition, but the consequences of our present Western diet,” Dr. Esselstyn writes, adding that having a breastbone sawed in half for bypass surgery or a stroke that renders one an invalid unable to speak “can be construed as extreme, and having a breast, prostate, colon, or rectum removed to treat cancer may seem inhumanly cruel.” That’s extreme.

Eating a bean burrito is easy.


So what should the cholesterol guidelines be for the prevention of our number-one killer? The answer to that question can be found in my video Everything in Moderation? Even Heart Disease?. You can also learn at what age this information applies to you and your loved ones in my videos How Not to Die from Heart Disease and Heart Disease May Start in the Womb.

If you know someone who already has heart disease, be sure to also watch my video Eliminating 90% of Heart Disease Risk, in which I compare the effectiveness of pharmacological therapies against those of a plant-based diet.

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About The Author

NutritionFacts.org's picture

NUTRITIONFACTS.ORG is a strictly non-commercial, science-based public service provided by Dr. Michael Greger, providing free updates on the latest in nutrition research via bite-sized videos. There are more than a thousand videos on nearly every aspect of healthy eating, with new videos and articles uploaded every day. NutritionFacts.org was launched with seed money and support by the Jesse & Julie Rasch Foundation. Incorporated as a 501c3 nonprofit charity, NutritionFacts.org now relies on individual donors to keep the site alive.

Dr. Greger is a physician, New York Times bestselling author, and internationally recognized speaker on nutrition, food safety, and public health issues. A founding member and Fellow of the American College of Lifestyle Medicine, Dr. Greger is licensed as a general practitioner specializing in clinical nutrition. Currently he proudly serves as the public health director at the Humane Society of the United States. Dr. Greger is a graduate of the Cornell University School of Agriculture and the Tufts University School of Medicine.

His latest book, How Not to Die, became an instant New York Times Best Seller. 100% of all proceeds he has ever received from his books, DVDs, and speaking engagements has always and will always be donated to charity. Dr. Greger receives no compensation for his work on NutritionFacts.org.

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